This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Figure 4. Excerpts from the Delphi Instrument for Hospital-based Domestic Violence Programs: Categories of Performance and Examples of Questions that Measure Performance
| Performance Category |
Example of Measure |
Scoring (points) |
| 1. Hospital policies and procedures |
Are there official, written hospital policies regarding the assessment and treatment of victims of domestic violence? |
No (0) |
Yes (1) |
| 2. Hospital physical environment |
Are there posters and/or brochures related to domestic violence on public display in the hospital? If yes, list total number of locations (up to 35). |
No (0) |
Yes (1-35) |
| 3. Hospital cultural environment |
In the last 3 years, has there been a formal (written) assessment of the hospital staff's knowledge and attitude about domestic violence? If yes, which groups have been assessed?
a) nursing staff... |
No (0) |
Yes (7) |
| 4. Training of providers |
Has a formal training plan been developed for the institution? |
No (0) |
Yes (10) |
| 5. Screening and safety assessment |
Is a standardized safety assessment performed and discussed with victims who screen positive for domestic violence? |
No (0) |
Yes (27) |
| 6. Documentation |
Does the hospital use a standardized documentation instrument to record known or suspected cases of domestic violence? If yes, does the form include:
a) information on the results of domestic violence screening? ... |
No (0) |
Yes (10) |
| 7. Intervention services |
Is there a standard intervention checklist for staff to use/refer to when victims are identified? |
No (0) |
Yes (14) |
| 8. Evaluation activities |
Is there any measurement of client satisfaction and/or community satisfaction with the domestic violence program? |
No (0) |
Yes (19) |
| 9. Collaboration |
Does the hospital collaborate with local domestic violence programs? If yes, which types of collaboration apply:
a) collaboration with training? ... |
No (0) |
Yes (10) |
Source: Agency for Healthcare Research and Quality. Delphi Instrument for Hospital-based Domestic Violence Programs. AHRQ Web site: www.ahrq.gov/research/domesticviol/dvtool.htm. Accessed Oct 16, 2002.
Return to Document
5600 Fishers Lane Rockville, MD 20857